| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $906.54 | $906.54 | $906.54 | |
Cigna
| Professional | $481.50 | $486.32 | $601.88 | |
Medica
| Facility | $906.54 | $1,532.05 | $2,483.92 | |
Medica
| Professional | $177.30 | $218.43 | $374.20 | |
United
| Professional | $168.19 | $215.10 | $374.20 |